Advanced Cardiology, LLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

ADVANCED CARDIOLOGY, LLC

Practice address

65 Ridgedale Ave
Cedar Knolls, NJ 07927-1313

Phone

(973) 401-1100

Fax

(973) 401-1201

NPI assigned

Jan 30, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kristine Nystrand

Title

Manager

Phone

(973) 401-0101

Specialties & licenses 6

Addresses

Other names 2

• Advanced Physical Therapy Doing business as
• Advanced Primary Care Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations (25 of 26)

Practitioners 36

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lawrence Charles Antonucci, MD

  • Cardiovascular Disease Physician
  • Chester, NJ
  • NPI 1083684914
  Medicare reassignment Care Compare group NPD
• Antonella Auciello, M.D.

  • Internal Medicine Physician
  • Hackettstown, NJ
  • NPI 1629064043
  Medicare reassignment Care Compare group NPD
• Miguel Angel Carreno, M.D

  • Internal Medicine Physician
  • Morris Plains, NJ
  • NPI 1295023489
  Medicare reassignment Care Compare group NPD
• Rachael A Craig, APN

  • Nurse Practitioner
  • Cedar Knolls, NJ
  • NPI 1679246250
  Medicare reassignment Care Compare group NPD
• Bijal A Dave, MD

  • Family Medicine Physician
  • Hackettstown, NJ
  • NPI 1770733321
  Medicare reassignment Care Compare group NPD
• Alexa Dendulk, FNP-C, APN

  • Family Nurse Practitioner
  • Cedar Knolls, NJ
  • NPI 1477160836
  Medicare reassignment Care Compare group NPD
• Nicole Marie Douglas, APN

  • Adult Health Nurse Practitioner
  • Chester, NJ
  • NPI 1215527874
  Medicare reassignment Care Compare group NPD
• April Faletto, PA-C

  • Physician Assistant
  • Budd Lake, NJ
  • NPI 1619184629
  Medicare reassignment Care Compare group NPD
• Robert Jesse Farrell, MD

  • Internal Medicine Physician
  • Cedar Knolls, NJ
  • NPI 1003503996
  Medicare reassignment Care Compare group NPD
• Margaret M Fleck, NP

  • Nurse Practitioner
  • Piscataway, NJ
  • NPI 1205822178
  Medicare reassignment Care Compare group NPD
• Darshan P Godkar, MD

  • Interventional Cardiology Physician
  • Cedar Knolls, NJ
  • NPI 1952515264

  Cardiovascular Disease

  Medicare reassignment Care Compare group NPD
• David James, MD

  • Interventional Cardiology Physician
  • Cedar Knolls, NJ
  • NPI 1205093846

  Cardiovascular Disease

  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649203200000",
    "number": "1295871796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 RIDGEDALE AVE",
            "city": "CEDAR KNOLLS",
            "state": "NJ",
            "postal_code": "079271313",
            "telephone_number": "973-401-1100",
            "fax_number": "973-401-1201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 RIDGEDALE AVE",
            "city": "CEDAR KNOLLS",
            "state": "NJ",
            "postal_code": "079271313",
            "telephone_number": "973-401-1100",
            "fax_number": "973-401-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED CARDIOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A",
        "authorized_official_last_name": "NYSTRAND",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "973-401-0101"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Advanced Primary Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Advanced Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Cardiovascular Disease Physician in Cedar Knolls, NJ
• Providers in Cedar Knolls, NJ by specialty
• Cardiovascular Disease Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.